Organization
INDIAN RIVER MEMORIAL HOSPITAL INC
Active
Other names
Cleveland Clinic Indian River Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
(216) 636-4969
(216) 636-6036
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
4029
FL
282N00000X
General Acute Care Hospital
Primary
4029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010104400
—
FL
01
—
309
BLUE CROSS
FL
Enumeration date
03/16/2006
Last updated
08/08/2025
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